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The rationale of this works is to analyse relationship in field of poisoning and toxicology between pharmaceutical care approach in order to improve the global management of the system and improving clinical outcomes in high risk situations. Observing the roles played by clinical pharmacy in toxicology medical team we can have relevant improving in the management of the systems. Starting from the analysis of some relevant literature we submit to international organization a rethinking about thedoi:10.21065/1920-4159.1000231 fatcat:w67cxs4r5fbijofvfn3rj5yznm